TRI-STATE MEDICAL GROUP INC
NPI 1558340968
Clinic/Center - Federally Qualified Health Center (FQHC) in Keokuk, IA
About Tri-state Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-STATE MEDICAL GROUP INC (NPI 1558340968) is a healthcare organization registered as a federally qualified health center (fqhc) in Keokuk, Iowa and active in the NPI registry since January 2006. The organization maintains a secondary practice location in Keokuk and lists Antonio Flores, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri-state Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Tri-State Medical Group Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 43Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Community Health Centers Of Southeastern Iowa, Inc's NPI number?
The NPI number for Community Health Centers Of Southeastern Iowa, Inc is 1558340968. It was assigned to this organization in the NPPES registry on January 13, 2006. The provider is doing business as Tri-State Medical Group Inc.
Where is Community Health Centers Of Southeastern Iowa, Inc located?
Community Health Centers Of Southeastern Iowa, Inc is located at 400 N 17th St, Keokuk, IA 52632. The listed phone number is (319) 524-5734.
What is Community Health Centers Of Southeastern Iowa, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Community Health Centers Of Southeastern Iowa, Inc enrolled in Medicare?
Yes. Community Health Centers Of Southeastern Iowa, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Health Centers Of Southeastern Iowa, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 8 Medicare specialties reassign their Medicare billing to Community Health Centers Of Southeastern Iowa, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (23), Dentist (8) and Clinical Social Worker (4). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Community Health Centers Of Southeastern Iowa, Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Community Health Centers Of Southeastern Iowa, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Community Health Centers Of Southeastern Iowa, Inc was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tri-State Medical Group Inc · NPI 1558340968
Federally Qualified Health Center (FQHC) organization in Keokuk, Iowa. Organization record, active in the CMS NPPES registry since January 13, 2006.
## Identity
- **NPI:** 1558340968 (Entity type: Organization)
- **Enumerated:** January 13, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Community Health Centers Of Southeastern Iowa, Inc
- **Organization subpart:** No
- **Authorized official:** Antonio Flores, CEO
## Practice location
- **Address:** 400 N 17TH ST, Keokuk, IA 52632-3452
- **Phone:** (319) 524-5734 · **Fax:** (319) 524-5758
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (23), Dentist (8), Clinical Social Worker (4); 4 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1558340968/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2024
- **Other identifiers:** Medicaid 0278374 (IA); Medicaid 506089408 (MO); Other 33624 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1558340968) · Data from the CMS NPPES public registry.